| NPI | 1184375412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000041) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC013536) |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01480) | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2023-12-13 |